we are trying to do that, implementing thea aca. i feel strongly of rewarding doctors differently, in a way that rewards success. in those discussions, are there other ways we can see revenues come in from within the health- care system? i think that is on the table. i am not keen on raising the age for medicare. we have to help figure out how to a group of people figure out how to get health college. that is the cost of subsidies. do they go into the exchange. for medicare, the use of the least expensive seniors we have, 65 and 66 year olds. the most expensive seniors are much older. you have to look at the consequences and whether that is a cost savings at the end of each day for government and for families. >> one final question on the immediate and we will go back to the broader agenda. the president had a firm statement this week about the test ceiling where he says, i will not play that game, meaning he will not negotiate for raising the debt ceiling. how was that going to work? does that need to be part of any agreement to ap